How to Start an NEMT Business in New Hampshire
New Hampshire Medicaid rides run through two brokers, split by health plan: CTS and MTM Health. Contract with both and you can reach nearly every Medicaid rider in the state.
What NEMT providers in New Hampshire are working with
about 1.4 million
Residents statewide in New Hampshire, the pool of potential facility and private-pay referrals your fleet can reach.
New Hampshire Medicaid
New Hampshire's Medicaid program. Members eligible for non-emergency transport benefits are routed through it before reaching a broker.
ModivCare
The Medicaid transportation broker(s) active in New Hampshire that assign trips and set per-mile rates for credentialed providers.
9 Steps to Start an NEMT Business in New Hampshire
Most New Hampshire Medicaid members get NEMT through their managed care plan, and fee-for-service members get it through the state's broker. New Hampshire's quick summary guide lists Coordinated Transportation Solutions (CTS) for fee-for-service and AmeriHealth Caritas New Hampshire, and MTM for NH Healthy Families and WellSense Health Plan.
WellSense moved to MTM Health on July 1, 2025. Commercial transportation providers are paid the rate agreed in their contract with the broker, so your two broker contracts set most of your Medicaid revenue.
Form your LLC with the New Hampshire Secretary of State and get an EIN. Check city requirements in Manchester, Nashua, or Concord.
Apply for an organization NPI at NPPES under a non-emergency transportation taxonomy.
Bind commercial auto and general liability at CTS and MTM requirements, and add workers' compensation once you hire.
Wheelchair vans with lifts or ramps and securement, ready for New Hampshire winters.
Run background and driving record checks and drug screens, and train for CPR, first aid, and wheelchair securement.
Apply to CTS's network to serve fee-for-service and AmeriHealth Caritas New Hampshire members.
Apply to MTM Health to serve NH Healthy Families and WellSense members.
Pick software that can take trips from both brokers and record GPS pickup and drop-off times.
Southern New Hampshire has strong private-pay demand. City pages and reviews bring in calls.
The New Hampshire NEMT Market in Numbers
What you're working with before you file your first document.
CTS and MTM Health, split by Medicaid plan.
Broker for fee-for-service and AmeriHealth Caritas New Hampshire members.
WellSense moved to MTM Health on July 1, 2025.
Routine rides need 48 hours' notice.
Concentrated in southern New Hampshire.
Typical range through broker contracting.
Licensing, Vehicles, Software, Brokers & Marketing in New Hampshire
New Hampshire's NEMT quick summary guide lists CTS as the broker for fee-for-service and AmeriHealth Caritas New Hampshire members, and MTM for NH Healthy Families and WellSense Health Plan members. WellSense made MTM Health its broker effective July 1, 2025.
Members give 48 hours' notice for routine rides. Contracting with both brokers is the way to reach the full Medicaid population.
New Hampshire's state plan describes commercial transportation providers being paid the contracted rate agreed with the broker. Negotiate and read each broker contract carefully, since rates and terms can differ.
Non-emergency ambulance providers must also contract with the member's plan broker or the fee-for-service broker to be reimbursed.
Carry commercial auto liability and general liability at the limits both brokers require, and add workers' compensation once you have employees.
Keep complete driver files and train for winter driving and wheelchair securement.
Manchester, Nashua, Concord, and the Seacoast hold most of the state's demand. Build a page for each city you serve. See our New Hampshire NEMT marketing page for how we approach this market.
Claim your Google Business Profile early and collect reviews from facilities and families.
Ready to launch your New Hampshire NEMT business?
We build broker-ready websites and Google profiles for New Hampshire operators, so private-pay and facility calls start while your broker contracts are in process.
3 Mistakes That Slow Down New Hampshire Operators
The most common, and most avoidable, delays new operators run into.
New Hampshire's Medicaid riders are split between CTS and MTM Health. One contract reaches only part of the market.
WellSense moved to MTM Health on July 1, 2025.
New Hampshire winters cancel trips. Equip vehicles and plan schedules for it.
What It Costs and How Long It Takes in New Hampshire
LLC formation & NH Secretary of State filing
About $100
Vehicle (used wheelchair van)
$25,000 to $55,000
Commercial auto insurance (annual, per vehicle)
$5,000 to $11,000
General liability & workers' comp (annual)
$1,500 to $4,000
Driver screening, CPR/First Aid per driver
$300 to $600
Dispatch software (monthly, per vehicle)
$100 to $300 / mo
Website and branding
$999 to $3,000
Business registration, EIN, NPI
1 to 2 weeks
Vehicles and insurance (parallel)
2 to 4 weeks
Driver hiring and screening (parallel)
2 to 4 weeks
CTS and MTM Health contracting (parallel)
4 to 10 weeks
Total, start to first trip
Typically 2 to 4 months
Who Should Start an NEMT Business in New Hampshire?
New Hampshire's southern cities hold most demand, with long trips from the north.
Manchester and Nashua Operators
Serving the state's largest cities and their hospitals and dialysis centers.
Concord and Seacoast Operators
Covering the capital and the Portsmouth area.
Lakes Region and North Country Operators
Serving long trips to southern hospitals and Dartmouth Health.
NEMT Brokers and Startup Steps in New Hampshire
Our broker directory lists 1 Medicaid NEMT broker for New Hampshire. Credentialing time, payment speed, and insurance minimums decide how fast a new New Hampshire provider starts earning, so compare them before you apply.
| Broker | Credentialing | Payment | Insurance minimum | Platform |
|---|---|---|---|---|
| ModivCare | 4-8 weeks | 15-30 days | $1M per occurrence / $3M aggregate | WellRyde |
Broker coverage changes by county and contract year. Confirm with the broker before you apply. Full details in the NEMT broker directory.
Licensing, New Hampshire Medicaid enrollment, vehicles, insurance, and costs for New Hampshire.
Read the guide →Check your profit per trip in New Hampshire after deadhead miles, wait time, and fuel.
Run the numbers →Dispatch and billing tools that connect to the brokers above.
Compare 14 tools →Get found by riders from day one
Families and discharge planners in New Hampshire call the first NEMT company they find on Google. Send us your details and we'll email you a launch plan for your website, Google Business Profile, and first reviews.
- What your website needs before broker credentialing
- How to set up your Google Business Profile the right way
- Where your first private-pay clients will come from
Start an NEMT Business in Another State
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- All states guide
Frequently asked questions
Who are the NEMT brokers in New Hampshire?
How are NEMT providers paid in New Hampshire?
How much does it cost to start an NEMT business in New Hampshire?
When did WellSense change NEMT brokers?
How do I get private-pay NEMT clients in New Hampshire?
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